NPIMap

Organization Active NPI

Endocrine & Diabetes Associates, P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Minneapolis, MN
National Provider Identifier
1538254289
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
20522 Issued in MN
Legal business name
ENDOCRINE & DIABETES ASSOCIATES, P.A.
Practice address
710 E 24TH St
Suite 405
Minneapolis, MN 55404-3840
Phone
(612) 336-5000
Fax
(612) 775-9800
NPI assigned
Oct 4, 2006
Last updated
Jul 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawrence Mulmed, MD FACENPI 1245226562
Title
President
Phone
(612) 336-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 20522 MN Primary

Addresses

Primary practice location

710 E 24TH St
Suite 405
Minneapolis, MN 55404-3840

Mailing address

710 E.24TH St.
Suite 405
Minneapolis, MN 55404-3840
Phone (612) 336-5000

Other identifiers 2

IdentifierTypeStateIssuer
39111ENOtherMNBLUE CROSS/BLUE SHIELD
3315697OtherMNMEDICA

National Provider Directory

National Provider Directory

Locations

710 E 24th St
Ste 405
Minneapolis, MN 55404
Phone (612) 336-5000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1538254289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E.24TH ST.",
            "address_2": "SUITE 405",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043840",
            "telephone_number": "612-336-5000",
            "fax_number": "612-775-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 24TH ST",
            "address_2": "SUITE 405",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043840",
            "telephone_number": "612-336-5000",
            "fax_number": "612-775-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE & DIABETES ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "MULMED",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-336-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD  FACE"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MN",
            "license": "20522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "39111EN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "3315697",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.